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South Carolina rates for HCPCS J1555

Injection Immune Globulin (Cuvitru) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.68 / $17.68 / $74.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.91 / $17.68 / $28.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.79 / $24.00 / $39.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $25.15 / $31.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $16.84 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.68 / $21.22 / $42.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $25.81 / $25.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $16.82 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $18.86